Critical Care Time 13. ICU Rounds: Focusing on the Patient
Dec 4, 2023
In this podcast, doctors discuss the evolution of ICU rounds towards collaborative approaches, emphasizing efficient patient summaries and multidisciplinary discussions. They explore the impact of involving families in rounds and highlight the importance of teamwork and end-of-life discussions. The discussion also touches on enhancing efficiency, patient-centered care, and the call for engagement and feedback.
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Fellowship Rounding Woes
- Nick Mark recalls excessively long rounds during fellowship, sometimes lasting five hours.
- This inspired him to prioritize efficiency and focus on action during rounds as an attending.
Evolution of Rounds
- Traditional, information-heavy rounds were essential in the past due to the lack of readily available patient data.
- With modern EHRs, this information is now easily accessible, making lengthy recitations obsolete.
Shared Mental Model
- Focus rounds on building a shared mental model of the patient's condition and treatment plan.
- Avoid simply reciting readily available information.